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Individual

SONIA LIS GRANERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461
(985) 646-5750
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200100539
NC
207R00000X
Internal Medicine Physician
Primary
304890
LA
208M00000X
Hospitalist Physician
200100539
NC

Other

Enumeration date
05/26/2006
Last updated
08/14/2018
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